Individual
CHRISTINE CATHERINE AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 LAURED RD EAST, EAST NORTHPORT, NY 11731
Mailing address
1461 ELMER ST, WANTAGH, NY 11793
(631) 612-8633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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